When applying a tourniquet for hemorrhage control, where should it be applied?

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The tourniquet should be applied proximal to any large wound to effectively control bleeding. This placement ensures that the tourniquet can occlude the arterial flow to the affected area, allowing for the cessation of blood loss. Positioning the tourniquet too far from the wound may not adequately compress the blood vessels leading to the injury, which would be ineffective in preventing further hemorrhage. Additionally, this location helps to minimize tissue damage and improve the chances of limb retention by preventing excessive movement and mechanical injury close to the wound site. Ultimately, a proximal placement provides the best chance to control life-threatening bleeding from an extremity effectively.

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